May 1st, 2012
Understand your use of CPT® codes prone to audit review. By Stacy Harper, JD, MHSA, CPC In the current regulatory environment, physicians are searching for ways to minimize audit exposure. Medicare administrative contractors (MACs) frequently review high-level evaluation and management (E/M) services. Review may be based on a random sample, or targeted based on provider ...
In Billing
Jul 15th, 2011
The Centers for Medicare & Medicaid Services (CMS) has added two new fact sheets to the Educational Resources portion of its website to help providers who are interested in participating in the Electronic Prescribing (eRx) Incentive Program. Finding E-prescribing Facts Just Got Easier was last modified: July 15th, 2011 by admin aapc...
In Audit
Apr 30th, 2010
Think your physician knows what constitutes a high-level evaluation and management (E/M) service? If he has a record of mainly billing high-level office visits, he may not. One thing you can be sure of is that all those high-level E/M claims will eventually catch your payer’s attention. Rather than hold your breath and hope for the best, ...
Apr 1st, 2010
By Stephen C. Spain, MD, FAAFP, CPC, and Kathy Rowland, CPC, CEMC, MCS-P The growing acceptance of electronic medical records (EMRs) continues to affect auditing services in new and significant ways. The number of our clients who use EMRs is on the rise, and recently we’ve encountered groups who increasingly rely on computerized selection of ...
Jun 1st, 2009
Knowing which guidelines to follow ensures successful E/M reporting. By G. John Verhovshek, MA, CPC Before reporting prolonged service codes 99354-99357, consider that American Medical Association (AMA) and the Center for Medicare & Medicaid Services (CMS) coding requirements may differ. For CPT® 2009, AMA revised the descriptors of inpatient critical care codes +99356 Prolonged physician ...